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ATI (RN Concept Based Assessment) CONTENT MASTERY SERIES QUESTIONS AND ANSWERS RATED A.
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ATI (RN Concept Based Assessment) CONTENT MASTERY SERIES QUESTIONS AND ANSWERS RATED A.
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ATI (RN Concept Based Assessment)CONTENT MASTERY SERIES QUESTIONS
AND ANSWERS RATED A.
A nurse is caring for a client who reports a severe sore throat, pain when
swallowing, and swollen lymph nodes. the client is experiencing which of
the following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness
Verified Answer -D- Correct: The illness stage is when the client
experiences manifestations specific to the infection.
A- Incorrect: The prodromal stage consists of nonspecific manifestations
of the infection.
B- Incorrect: The incubation period consists of the tie when the pathogen
first enters the body prior to the appearance of any manifestations of
infection.
C- Incorrect: During convalescence, manifestations of the infection fade.
A charge nurse is reviewing with a newly hired nurse the difference in
manifestations of localized versus a systemic infection. Which of the
following are manifestations of a systemic infection? (Select all that
apply.)
,A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate
Verified Answer -A, B, E- Correct: Fever, Malaise, and Increase in pulse
and respiratory rate indicates that the infection is affecting the whole
body, and therefore systemic.
C, D- Incorrect: Edema, pain or tenderness are manifestations of
localized infection.
A nurse is contributing to the plan of care for a client who is being
admitted to the facility with as suspected diagnosis of pertussis. Which of
the following interventions should the nurse include? (Select all that
apply.)
A. Place the client in a room that has negative air pressure of at least six
(6) exchanges per hour
B. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another
department is unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when performing care that might result in contamination
from secretions.
Verified Answer -B, C, E- Correct
,A- Incorrect: Place a client in a private room and initiate droplet
precautions if they have pertussis. Negative-pressure airflow is required
for a client who is on airborne precautions.
D- Incorrect: Wear a gown and non-sterile gloves when performing care
that might result in contamination from body fluids.
List the six (6) links in the chain of infection that must be present for an
infection to occur.
Verified Answer -1. Causative agent
2. Reservoir
3. Portal of exit (means of leaving) from te host
4. Mode of transmission
5. Portal of entry to the host
6. Susceptible host
A nurse is caring for a client who fell at a nursing home. the client is
oriented to person, place, and time and can follow directions. Which of
the following actions should the nurse take to decrease the risk of another
fall? (Select all that apply.)
A. Place a belt restraint on the client when they are sitting on the bedside
commode
B. Keep the bed in the lowest position with all side rails up
C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear.
E. Complete a fall-risk assessment
Verified Answer -C, D, E- Correct: Making sure the call light is within
reach enables the client to contact the nursing staff to ask for assistance
, and prevents the client from falling out of bed while reaching for the call
light. Nonskid footwear keeps the client from slipping. A fall-risk
assessment serves as the basis for a plan of care that can then
individualize for the client.
A- Incorrect: By restraining the client, there is a liability risk for false
imprisonment.
B- Incorrect: Full side rails for this client puts the client at risk for fall b/c
they might attempt to climb over the rails to get out of bed.
A nurse manager is reviewing with nurses on the unit in the care of a
client who has had a seizure. Which of the following statements by a
nurse requires further instruction?
A. "I will place the client on their side."
B. "I will go to the nurses' station for assistance."
C. "I will note the time that the seizure begins."
D. "I will prepare to insert an airway."
Verified Answer -B- Correct: During a seizure, stay with the client and
use the call light to summon assistance.
A- Incorrect: During a seizure, place the client in a side-lying position to
allow for drainage of secretions and to prevent the tongue from occluding
the airway.
C- Incorrect: Note the time the seizure begins, and track how long the
seizure lasts.
D- Place nothing in the client's mouth except an oral airway, if necessary.
A tongue blade can cause injury and airway obstruction.
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